Individual provider · Type 1 NPI

Aidan Park, DDS

Dentist · Kenosha, WI

NPI number 1639626450 Active

Practice location

6430 Green Bay Rd
Kenosha, WI 53142-2948

Fax (847) 496-4850

Mailing address

2050 E Algonquin Rd, Ste 610
Schaumburg, IL 60173-4144

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X1001421 (WI)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1639626450

Aidan Park, DDS's National Provider Identifier is 1639626450, issued on Sep 9, 2016. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Kenosha, WI. The record was last updated on Sep 9, 2016.